Download Assisted Access - Medway Tickets Live

Assisted
Access
Scheme
Membership application request (Organisational Membership)
For organisations whose members need additional assistance to access the
services within The Brook & Central Theatres. Please read the attached
information before completing this form. (Please use block capitals)
Organisation ___________________________________________________________
Type of Organisation: Disabled Group / Community group / Care Home / Day Centre /
Educational Establishment / Training Establishment / Other ___________________________________
Address ______________________________________________________________
_________________________________________ Postcode ___________________
Phone __________________________ Fax ___________________________________
Email __________________________ Website _______________________________
Name of appointed representative+ _________________________________________
Job Title ______________________________________________________________
+
the appointed representative is the named individual authorized to make bookings under the scheme. He/She is
required to sign this declaration that the benefits of membership will be used within the terms set out in this
document and The Brook & Central Theatre Disabled Access Policy and that individuals represented by this
organisation would be restricted in their ability to access the services provided without assistance within the scope
of the Disability Discrimination Act 1995*
Please indicate the likely types of seat location(s) or services members of your party
may require in order to access our facilities.
(An indication of the number of members who would be in a group and would need assistance in these areas would
be helpful. A record of this will be made on your Client Record, and will be made available to appropriate venue staff.)
Aisle Seat (Aisle on Left) _____ Aisle Seat (Aisle on Right) ______ Stalls Seat _____________________
Wheelchair Position _________ Induction loop _________ Seat with opening arm __________________
Room for an assistance Dog_______________ Large or Tall Wheelchair used ______________________
Please
indicate
the __________________________________________________________________
ratio of assistants to group members that your organisations’ Risk
Other
(Please
specify)
Assessments lay down as being necessary for leisure trips.
How many wheelchair users are likely to prefer to use a standard theatre seat? _________________
Number of assistants ____________________ per _______________________________ group members
We may require you to produce your Risk Assessments when considering your application.
If the failure of a piece of our equipment would seriously hamper, or make your visit
impossible then please tell us.
Platform Lift(s) ___________________ Passenger Lift to the Central Theatre Balcony ______________
Induction Loop___________________ Passenger Lift to the Brook Theatre ______________________
Other (Please specify) _________________________________________________________________
We will endeavor to inform you if one of the following pieces of equipment is out of action; so that you can discuss
your options with venue staff. Wherever possible we will offer an alternative location for you, so that the disruption
to your visit is kept to a minimum.
This declaration will be valid for 2 years from the agreed date of registration. The Brook &
Central Theatres reserve the right to request further information on the individual
requirements of the registered individual, to support their assistance and to prevent against
fraud. Membership of the scheme is valid for 2 years, after which organisations may be
required to reaffirm your status.
I confirm that, in order to access the Brook & Central Theatres, individuals in our care
require the presence of an assistant.
Signed _______________________________ Date _____________
*The Disability Discrimination Act 1995 – A person has a disability if he or she has a physical or
mental impairment, which has a substantial and long-term adverse effect on his or her ability to
carry out normal day-to-day activities. Please note that a false application could lead to civil
proceedings and/or prosecution for offences under the Theft Act 1968. All tickets are subject to
availability at the time of booking. The theatre reserves the right to review the availability of
For Office Use Only
Date Received: .......................................................................................
Any Additional Information Requested .....................................................
.............................................................................................................
.............................................................................................................
Accepted/Declined*
Date ........................................
Reason Application declined ...................................................................
.............................................................................................................
Review Required on (Date) .....................................................................
Signature ...............................................................................................
tickets within the scheme, to review a member’s eligibility and to revoke that membership
following review.
Assisted Access Scheme
(Organisational Membership)
For those who need additional assistance to access the services within The Brook & Central
Theatres.
The Brook & Central Theatres and Medway Council are firmly committed to
enabling all their patrons to attend theatrical performances equally and with
dignity and respect. The Theatre operates this membership scheme for those
who, within the scope of the Disability Discrimination Act 1995*, need
somebody (referred to hereafter as the assistant) to be present in order to
assist them to readily access the services within the theatre. The membership
scheme is not open to or intended for those who simply want a companion or
require assistance with transportation to the Theatre.
The assistant is somebody who is able to help the disabled person access
services that, without their help, would be inaccessible. To ensure their
safety, wellbeing and enjoyment of their visit to the Theatre and of those they
come into contact with. The assistant has a responsibility to familiarise
themselves with the layout of the Theatre and the location of services, they
should liaise with Theatre staff if the disabled person requires assistance and
take instructions should there be a need to evacuate the building. The
assistant is required to attend to the needs of the disabled person at all times
whilst on the premises. Theatre staff will advise and aid the assistant, but
cannot be expected to furnish assistance with duties for which the assistant is
present.
Our Disabled Assistance Scheme allows bona fide groups and organisations to
obtain up to five additional tickets, at half the standard price, for assistants.
To join, the appointed representative of the Organisation will need to
complete and sign the application attached and return it to The Brook &
Central Theatres at the address provided. As the Brook & Central Theatres
are a publicly funded organisation we require the appointed representative to
sign a declaration that the benefits of membership will be used within the
terms set out in this document* and The Brook & Central Theatre Disability
Access Policy.
Applications will be considered and you will be informed whether your
organisation have been accepted onto the scheme within 10 working days. If
we require further information then we will inform you of this within the same
time frame and will pass on our decision as soon as possible after that
information has been received. We regret that scheme tickets cannot be
made available until applications have been approved and we have registered
your organisation onto the scheme.
The information you provide us with will help us to provide a better service
for you. It may be that your Risk Assessments are such that five assistant
tickets will not be sufficient and this will enable us to assess how we can best
accommodate your needs. There is an opportunity on the form for you to tell
us about your particular needs or you can include information on a separate
sheet if required. For example we need to know if your mobility equipment is
an unusual size, shape or is motorised, so that we can allocate the correct
amount of space when booking. The information you give us is protected by
the Data Protection Act and will only be used for the purpose set out in this
document.
If you have difficulty completing this form or would like more information,
please contact the Box Office who will be pleased to assist. Completed forms
should be sent to:
The House Manager, The Brook & Central Theatres, Old Town Hall,
Chatham, ME4 4SE.
*The Disability Discrimination Act 1995 – A person has a disability if he or she has a physical
or mental impairment which has a substantial and long-term adverse effect on his or her
ability to carry out normal day-to-day activities. Please note that a false application could lead
to civil proceedings and/or prosecution for offences under the Theft Act 1968. All tickets are
subject to availability at the time of booking. The theatre reserves the right to review the
availability of tickets within the scheme, to review a member’s eligibility and to revoke that
membership following review.
This information is available in other formats and languages.
For further details please call 01634 338310